PRAKONG DEOISARES - Registered Nurse License in New York | # 041165848

PRAKONG DEOISARES

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165848

License Status

NOT RENEWED

Business

N

First Name

PRAKONG

Last Name

DEOISARES

Business Name

PRAKONG DEOISARES

Original Issue Date

03/09/1976

Effective Date

03/09/1976

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006